Provider Demographics
NPI:1982968285
Name:FIGGE, AMANDA BRIELLE (RD, LDN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:BRIELLE
Last Name:FIGGE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:BRIELLE
Other - Last Name:NOVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:320 E CARPENTER ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62702-5185
Mailing Address - Country:US
Mailing Address - Phone:217-788-3948
Mailing Address - Fax:217-527-3209
Practice Address - Street 1:320 E CARPENTER ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62702-5185
Practice Address - Country:US
Practice Address - Phone:217-788-3948
Practice Address - Fax:217-527-3209
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164005737133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered